206168 | Inting, Sofia
I. Introduction
This case analysis examines the nutritional status of children aged 0-5 and 5-10
years old in households headed by fisherfolk in the Philippines. Fisherfolk communities play
a significant role in the country's coastal areas, providing livelihoods and sustenance through
fishing activities. However, these communities often face numerous challenges that can
impact the health and well-being of their children, including limited access to nutritious food,
poor living conditions, and exposure to extreme events.
The researchers utilized data from the 8th National Nutrition Survey conducted by the
Food and Nutrition Research Institute, Department of Science and Technology. The study
involved a total of 13,423 young children and 16,398 schoolchildren, and their nutritional
status was evaluated using the World Health Organization Child Growth Standards and
Growth Reference 2007, respectively. The occupational groups were categorized based on
the 1992 Philippine Standard Occupational Classification. Descriptive statistics were used
for profiling the variables, while bivariate analysis, logistic regression, and odds ratios were
employed to examine the correlation between different variables and the nutrition status of
the children. The statistical software Stata 12.0 was utilized for data analysis.
Malnutrition among children is a critical issue in the Philippines, with long-lasting
consequences for their physical and cognitive development. Understanding the specific
nutritional challenges faced by children in fisherfolk households is essential for developing
targeted interventions and improving the overall health outcomes of this vulnerable
population. The study delves into various factors that contribute to the nutritional status of
children in fisherfolk households. It examines the prevalence of undernutrition, such as
underweight, stunting, and wasting, as well as the emergence of overnutrition, including
overweight and obesity. Socioeconomic factors, access to food, health conditions, and the
impact of extreme events are explored to gain a comprehensive understanding of the
nutritional landscape in these communities.
By identifying the specific challenges and determinants of nutritional status among
children in fisherfolk households, the study aims to provide valuable insights for
policymakers, healthcare professionals, and community leaders to develop targeted
interventions and strategies. Ultimately, addressing the nutritional needs of these children
will contribute to their overall health, well-being, and future prospects, while breaking the
cycle of poverty in fisherfolk communities.
II. Development Issue
Results from the study indicated that households headed by fisherfolks (HHF) had a
higher prevalence of malnutrition among young and school-aged children compared to other
occupational groups. Among young children, the prevalence of malnutrition in HHF was
higher than the overall prevalence in the Philippines, except for overweight. The same
pattern was observed among schoolchildren, except for wasting. Factors such as age of
child, sex, household size, age of the household head (fisherman or farmer), and the type of
toilet (water-sealed) were found to be correlated with stunting, underweight, overweight, and
obesity among children.
Given the results, there exists the pressing development issue of food insecurity in
this community. According to the definition agreed to at the 1996 World Food Summit, “Food
security exists when all people, at all times, have physical and economic access to sufficient,
safe and nutritious food that meets their dietary needs and food preferences for an active
and healthy life”. The Food and Agriculture Organization of the United Nations highlights the
significance of food security and the right to food. It is a fundamental human right that should
be accessible to everyone, without any form of discrimination.
It is important to first understand the underlying factors causing the problem so that
proposed solutions and interventions can be designed and implemented more effectively.
Based on the case study, the high prevalence of malnutrition among children in fishing
communities (HHF) can be attributed to multiple factors. Firstly, poor health and living
conditions in HHF contribute to common illnesses that hinder growth and nutritional status.
Secondly, extreme events like typhoons and limited access to nutritious foods in coastal
areas impact the community's nutritional well-being. Thirdly, household socioeconomic
status plays a role, with children from poorer households experiencing worse nutritional
outcomes. Additionally, factors affecting school-aged children differ from younger children,
with household food insecurity, low maternal education, and poor health influencing their
nutritional status. The impact of economic activities on breastfeeding also affects the
nutrition provided to young children. Other factors affecting schoolchildren's nutritional status
include food quality, availability, household size, literacy of food preparers, and household
head. It is worth noting that alongside undernutrition, overnutrition is also observed in fishing
communities, potentially caused by excessive calorie consumption, sedentary lifestyles, and
economic disparities.
Addressing the high prevalence of malnutrition in fishing communities, particularly
among children, is crucial to break the cycle of poverty and improve long-term
socioeconomic and health outcomes. Immediate intervention and investment in the
nutritional status of young children and schoolchildren in fishing communities are necessary
to mitigate the risks associated with poor nutrition and ensure their healthy development.
III. Evaluation
The utilization of evaluation methods such as the Multidimensional Poverty Index
(MPI) can be advantageous in addressing malnutrition. The MPI provides a holistic approach
to measuring poverty by considering multiple dimensions of deprivation, including nutrition.
By incorporating indicators such as child malnutrition, access to healthcare, and living
conditions, the MPI allows for a comprehensive assessment of the factors contributing to
malnutrition and helps identify the most vulnerable groups. This evaluation method helps
policymakers and stakeholders understand the complexity of malnutrition and develop
targeted interventions that address the underlying causes.
More specifically, the Multidimensional Poverty Index (MPI) focuses on specific
dimensions relevant to nutrition and food security, capturing deprivations related to access to
food, nutrition, and other factors crucial for food security. The MPI also often includes
nutrition-specific indicators, providing insights into nutritional well-being and food security.
Finally, the MPI captures overlapping deprivations and the multidimensional nature of
poverty, identifying populations facing multiple challenges, including inadequate nutrition and
food insecurity. Overall, the MPI has specific focus and inclusion of relevant indicators.
By utilizing the MPI, interventions can be designed to address not only the immediate
nutritional needs but also the broader social and economic determinants of malnutrition,
leading to more effective and sustainable outcomes in combating this pressing issue.
IV. Alignment with Sustainable Development
Sustainable development is crucial for addressing the developing issue of food
insecurity in this case study for several reasons. Firstly, sustainable development focuses on
ensuring long-term well-being by balancing economic growth, social development, and
environmental protection. By considering the holistic needs of communities, sustainable
development seeks to address the root causes of issues like malnutrition and food insecurity.
In the case of children in fisherfolk households, sustainable development is vital
because it helps address the underlying factors that contribute to their poor nutritional status.
These factors may include limited access to nutritious food, inadequate healthcare services,
insufficient income and resources, and environmental vulnerabilities associated with coastal
areas. Sustainable development approaches can promote sustainable fishing practices,
enhance food systems, improve healthcare infrastructure, and provide economic
opportunities for fisherfolk communities.
Sustainable Development Goal 2: Zero Hunger aims to ensure that all individuals
have access to safe, nutritious, and sufficient food throughout the year. However, achieving
Zero Hunger requires addressing not only food availability but also issues related to food
access, utilization, and stability. In the context of children in fisherfolk households,
addressing malnutrition and achieving Zero Hunger may involve improving fishing practices,
promoting diversification of livelihoods, enhancing food processing and storage facilities,
expanding social safety nets, strengthening nutrition education and awareness, and ensuring
access to quality healthcare services.
The challenge lies in implementing comprehensive and sustainable strategies that
address the specific needs and vulnerabilities of children in fisherfolk households. This
requires collaboration among various stakeholders, including government agencies,
community organizations, civil society, and the private sector. By integrating sustainable
development principles and addressing the multidimensional aspects of food security and
nutrition, it becomes possible to improve the nutritional status of children in fisherfolk
households and work towards achieving Zero Hunger in a holistic and sustainable manner.
V. Synthesis
Malnutrition among children in fisherfolk communities is a pressing issue that
necessitates targeted interventions. The study reveals that children in these communities
experience high rates of malnutrition, including undernutrition, overnutrition, and
micronutrient deficiencies. Factors such as limited access to nutritious food, poor living
conditions, and exposure to extreme events exacerbate the problem. Addressing
malnutrition is crucial for the immediate well-being of these children and for breaking the
cycle of intergenerational poverty and inequality. Furthermore, this issue aligns closely with
the Sustainable Development Goal (SDG) of Zero Hunger, which aims to ensure access to
safe and sufficient food for all. Malnutrition hampers children's physical and cognitive
development, hindering progress towards achieving SDG Zero Hunger. Targeted
interventions such as improving food security, promoting sustainable agriculture, and
enhancing nutrition education are vital for addressing malnutrition in fisherfolk communities
and fostering sustainable development.
VI. References
Food and Agriculture Organization of the United Nations. (n.d.). Food security and the right
to food. Food security and the right to food | Sustainable Development Goals | Food
and Agriculture Organization of the United
Nations.https://www.fao.org/sustainable-development-goals/overview/fao-and-the-20
30-agenda-for-sustainable-development/food-security-and-the-right-to-food/en/
Capanzana, M. V., Aguila, D. V., Gironella, G. M. P., & Montecillo, K. V. (2018). Nutritional
status of children ages 0-5 and 5-10 years old in households headed by fisherfolks in
the Philippines. Archives of Public Health, 76:24.
https://doi.org/10.1186/s13690-018-0267-3
United Nations. (n.d.). Goal 2: Zero Hunger - United Nations Sustainable Development.
United Nations. https://www.un.org/sustainabledevelopment/hunger/